The newest Juvederm product, Voluma has been FDA-approved for use in restoring volume in the cheek area. Voluma has been shown to last up to 2 years.
If you loved Juvederm, you will love Juvederm Voluma even more! Voluma is made of hyaluronic acid (HA), a naturally occurring sugar in the body. In large part, the longevity of HA fillers has been determined by the amount of "cross-linking" of the molecules, meaning essentially how densely they're packed together. Voluma is highly cross-linked, to the point where the density of the filler allows it to last up to two years. This added density has not detracted from the smooth, silky way it goes into the face, but (aside from the fact that there is 20% more product in each syringe than there was with Juvederm's former incarnations) Voluma is definitely creating more fullness just from the density alone.
A long lasting filler with immediate results. It works with your body's own collagen to give volume that will last years instead of months.
For people who tend to "burn up" filler, Artefill offers a solution for both needle- and credit card-fatigue. This revolutionary volumizer has been around in its present form since 2006, but I have been watching it all these years to make sure of its safety profile.
Twenty per cent of each syringe-full of Artefill is made up of microspheres -- each one being 40 thousandths of a millimeter in diameter -- of polymethylmethacrylate (known by its acronym, PMMA). PMMA is an inert substance that has been used for decades in medicine, for instance in bone glue and the intraocular lenses that are put in the eyes at the time of cataract extractions.
The other 80% is bovine (cow) collagen, which is what most collagen injections were made of back in the 90's. The reason we don't use bovine collagen anymore as a filler is because it doesn’t last more than a few months.
However it has an ionic charge that suspends the PMMA microspheres the perfect distance from each other while they stimulate the body to form its own collagen around them. PS: For those of us who try to live cruelty-free, I've been assured by the company that the collagen is procured from trimming the hooves of this closed herd of cows - a pedicure, if you will.
For those of you who seem to metabolize away anything, take comfort in knowing that 20% of each Artefill treatment just can't be metabolized, so you get to keep it. Some people ask for multiple sessions over time so that the percentage of filler they retain becomes more and more of the entirety of the volume they want.
As children, most of us have lips with a rosy cherubic color. As the decades pass, the lips tend to fade in color and the contrast between the border of the lips and the skin around the lips becomes less defined. With the loss of definition the border can become irregular and any asymmetries in the contour of the lip borders can appear exaggerated.
This is where lip liner comes in. A "lip-colored" lip liner allows you to restore that border, smoothing its contour and restoring the contrast between the rosiness of natural young lips and the skin outside of the lip line. Keep the lip liner close to your natural lip color or the lip color you're applying that day. Lip liner that is more than a shade darker than your lip color will look artificial and harsh. While you can "push" the border a little bit if you want the look of more volume, it's important to keep the lip liner from going onto the flat part of the lip outside the border.
If you feel that you've lost so much volume in the lips that enhancing them with lipstick or liner is an exercise in futility, I can restore the volume of the lips with a very long-lasting technique that will look beautifully natural. With all the overdone and "trout-mouth" lips that frighten people out of restoring lost volume, the fact remains that those results absolutely never need to happen. The difference between a disaster or even mediocrity and a beautifully restored lip requires:
1. An in-depth understanding of the anatomy and embryonic development of the lips and the area around them, 2. Impeccable technique, 3. Commitment, 4. Experience, 5. The correct product to restore the lips and 6. Artistic skill to sculpt a beautiful and natural-looking lip while correcting asymmetries.
"I was out to dinner with a few friends and they were talking about how awful those filled-up lips looked. They were saying they'd never have it done. Then one of my friends turned to me and said how lucky I was that I didn't need it. I just smiled."--As related to Dr. Barbour by an actual patient whose lips she had restored.
In previous entries with this title, we covered attitude -- because your outer beauty is a reflection of your inner beauty. Now here's something that can be dealt with in a minute and an issue I see with women on a consistent basis. One of the quickest and easiest ways to make your face look healthier (and therefore younger) is with contrast. A monochromatic face is much more likely to look tired than a face with contrasts of light and dark and contrasts of color. Given that we all know that you never want to take any of this to extremes, contrast immediately provides a lift to the face, so here are a couple tips:
1. My newer patients often will come in having used an allover bronzer (we are, after all, in Florida down here) to give the face a bit of tan. That's fine. A little bronzer can warm up a face really nicely. But if you're going to use it all over the face, you then need to give yourself a flush of color on the apples of the cheeks. Better yet, you can put a touch of that color across the bridge of your nose and the tip of your chin to mimic the flush of a young person who's just come in from a good run. Bronzer placed evenly over the face without a pop of color at the cheeks can look flat or even muddy. Another thing you can try is simply using the bronzer where you would put a blusher and leaving the rest of the face its natural color. Remember though, that subconsciously the observer will read a bit of pink at the cheeks as good blood circulation. Good circulation indicates health and the look of health is appealing to an observer. If you're going to make a choice between only bronzer or only blusher, almost always the blusher will give a healthier look than bronzer alone.
2. As we age, our eyebrows tend to become thinner and lighter in color. Since it's a gradual process, our eye adjusts to it so it looks normal to us, and sometimes we continue to pluck until there's not much left but a thin line. One of the indicators of youth is a full brow with good color, again within reason. Most of us (who are female) can't carry off a really heavy brow. But a full healthy one looks so much younger -- and healthier -- than a skinny line. Generally, brunettes and deep redheads require a brow color slightly lighter in value than their hair color. Blondes and lighter redheads should go with a color that is slightly darker than their hair color. A pale or disappearing brow is to your eyes like a house without a roof. Brows frame the eyes and direct the observer's eyes to yours. When you first change the brows, it may take you a little while to adjust to the new look, but almost inevitably a full healthy brow with good color contrast against the skin is going to make you look more attractive.
As always, you're welcome to call us for an evaluation at 941.951.2220. Jill, our aesthetician (who looks like a fresh little meadow maid herself -- and amazingly young) can show you exactly what to do using our good-for-you and absolutely beautiful Jane Iredale cosmetics. Stay tuned. In the next blog we'll go over this topic as it applies to your eyes and then later we'll talk about your lips.
Oculofacial Plastic Surgeon, Sarasota, Florida
Subscribe to our newsletter